MYLA LARA NATIVIDAD

MORENO VALLEY, CA
NPI1386195212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005029)
Enumeration Date2016-10-14
Last Update Date2016-10-14
Business Address
-- MYLA LARA NATIVIDAD FNP-C
26323 OLD ANVIL LN
MORENO VALLEY, CA 92555-2935
Phone number: 951-318-9011
Mailing Address
-- MYLA LARA NATIVIDAD FNP-C
26323 OLD ANVIL LN
MORENO VALLEY, CA 92555-2935
Phone number: 951-318-9011